A Controlled Evaluation of a Training Course for Staff Who Work with People with Dementia

This controlled intervention was a pilot study that examined the impact of a brief training programme on N= 40 care-workers. The six-week course (one hour per week) produced significant changes in the staff’s attitude and knowledge base; no change was evident for their coping style. In accounting for the results, this article presents a qualitative analysis of the process features underpinning the improvements. The training employed an integrative approach, combining cognitive behavioural and experiential learning methods.

[1]  C. Ballard,et al.  Quality of care in private sector and NHS facilities for people with dementia: cross sectional survey , 2001, BMJ : British Medical Journal.

[2]  Beryl Hesketh,et al.  Dilemmas in training for transfer and retention , 1997 .

[3]  J. Austin,et al.  Application of an attribution-affect-action model of caregiving behavior. , 1997, Archives of psychiatric nursing.

[4]  D. Dagnan,et al.  UNDERSTANDING CHALLENGING BEHAVIOUR IN OLDER PEOPLE; THE DEVELOPMENT OF THE CONTROLLABILITY BELIEFS SCALE , 2004, Behavioural and Cognitive Psychotherapy.

[5]  L. Burgio,et al.  Institutional Staff Training and Management: A Review of the Literature and a Model for Geriatric, Long-Term-Care Facilities , 1990, International journal of aging & human development.

[6]  L. Sjodahl.  Evaluation of Training. , 1975 .

[7]  M. Marsiske,et al.  Behavior management training for nurse aides: is it effective? , 1990, Journal of gerontological nursing.

[8]  M. Smyer,et al.  Improving nursing home care through training and job redesign. , 1991, Experimental aging research.

[9]  D. Wight,et al.  Nurses' job satisfaction and the quality of care received by patients in psychogeriatric wards , 1995 .

[10]  C Gilleard,et al.  A study of two dementia quizzes. , 1994, The British journal of clinical psychology.

[11]  Nicholas Tarrier,et al.  Behavioural management in nursing and residential homes: a randomised controlled trial , 1999, The Lancet.

[12]  E. Perry,et al.  Nicotine binding in human striatum: elevation in schizophrenia and reductions in dementia with Lewy bodies, Parkinson’s disease and Alzheimer’s disease and in relation to neuroleptic medication , 2000, Neuroscience.

[13]  C. Holmes,et al.  Sensory stimulation in dementia , 2002, BMJ : British Medical Journal.

[14]  A. Norberg,et al.  Strain among nurses and their emotional reactions during 1 year of systematic clinical supervision combined with the implementation of individualized care in dementia nursing. , 1993, Journal of advanced nursing.

[15]  R. Woods,et al.  The Challenging Behaviour Scale (CBS): development of a scale for staff caring for older people in residential and nursing homes. , 2001, The British journal of clinical psychology.

[16]  M. Smyer,et al.  Improving nursing home care through training and job redesign. , 1992, The Gerontologist.

[17]  J. Cohen-Mansfield.  Use of Patient Characteristics to Determine Nonpharmacologic Interventions for Behavioral and Psychological Symptoms of Dementia , 2000, International Psychogeriatrics.

[18]  J. O’Brien,et al.  Treating behavioural and psychological signs in Alzheimer's disease , 1999, BMJ.

[19]  Timothy T. Baldwin,et al.  TRANSFER OF TRAINING: A REVIEW AND DIRECTIONS FOR FUTURE RESEARCH , 1988 .

[20]  E. Perry,et al.  Neuroleptic sensitivity in patients with senile dementia of Lewy body type. , 1992, BMJ.

[21]  Lester R. Bittel,et al.  TRAINING AND DEVELOPMENT HANDBOOK. , 1967 .

[22]  R. Moos,et al.  The role of coping responses and social resources in attenuating the stress of life events , 1981, Journal of Behavioral Medicine.

[23]  R. Toseland,et al.  Educating nursing assistants to communicate more effectively with nursing home residents with dementia. , 1999, The Gerontologist.

[24]  R. Woods,et al.  Can staff training reduce behavioural problems in residential care for the elderly mentally ill? , 1998, International journal of geriatric psychiatry.

[25]  R. Woods.  Before and after training: A case study of intervention , 2000 .

[26]  M. Folstein,et al.  A Randomized Trial of Dementia Care in Nursing Homes , 1996, Journal of the American Geriatrics Society.